Laparoscopic management of heterotopic cesarean scar

Fertility and sterility · Apr 2009

Case Reports

Laparoscopic management of heterotopic cesarean scar pregnancy with preservation of intrauterine gestation and delivery at term: case report.

To present a case of laparoscopic removal of a heterotopic cesarean scar pregnancy under ultrasound guidance. ⋯ Surgical removal of the ectopic mass by laparoscopy may be a radical approach in cases of heterotopic cesarean scar pregnancy. Laparoscopic excision of the cesarean scar pregnancy gives the opportunity to preserve the viable intrauterine gestation while maintaining a strong lower uterine segment. Ultrasound is an adjunctive tool that enables precise location of the ectopic mass during the operation.

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- L Cem Demirel, Harika Bodur, Belgin Selam, Arda Lembet, and Tolga Ergin.
- Department of Obstetrics and Gynecology, Acibadem Health Group, Istanbul, Turkey. cdemirel@asg.com.tr
- Fertil. Steril. 2009 Apr 1; 91 (4): 1293.e5-7.
ObjectiveTo present a case of laparoscopic removal of a heterotopic cesarean scar pregnancy under ultrasound guidance.DesignCase report.SettingPrivate hospital.Patient(S)A 34-year-old woman with heterotopic cesarean scar pregnancy.Intervention(S)Laparoscopic removal of heterotopic cesarean scar pregnancy.Main Outcome Measure(S)Delivery at term after laparoscopic management of heterotopic cesarean scar pregnancy.Result(S)An ongoing intrauterine pregnancy ended with a live birth after successful removal of the heterotopic gestational mass by a laparoscopic approach.Conclusion(S)Surgical removal of the ectopic mass by laparoscopy may be a radical approach in cases of heterotopic cesarean scar pregnancy. Laparoscopic excision of the cesarean scar pregnancy gives the opportunity to preserve the viable intrauterine gestation while maintaining a strong lower uterine segment. Ultrasound is an adjunctive tool that enables precise location of the ectopic mass during the operation.

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Laparoscopic management of heterotopic cesarean scar pregnancy with preservation of intrauterine gestation and delivery at term: case report.

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